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Related Experiment Videos

[Bone cysts and continuous ambulatory peritoneal dialysis]

G Viglietta1, L Catizone, C Poggi

  • 1Servizo di Radiologia, Ospedale M. Malpighi, USL 28, Bologna Nord.

La Radiologia Medica
|December 1, 1993
PubMed
Summary

Continuous ambulatory peritoneal dialysis (CAPD) does not prevent dialysis-associated amyloidosis. Bone lesions, including carpal bone cysts, develop in CAPD patients, highlighting the need for early detection.

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Area of Science:

  • Nephrology
  • Rheumatology
  • Radiology

Background:

  • Dialysis-associated amyloidosis is common in hemodialysis patients.
  • Limited data exists on amyloidosis incidence in continuous ambulatory peritoneal dialysis (CAPD).

Purpose of the Study:

  • To investigate the incidence and progression of dialysis-associated amyloidosis in CAPD patients.
  • To compare bone lesion development in CAPD versus hemodialysis patients.

Main Methods:

  • Prospective study of 27 CAPD patients.
  • Radiographic assessment (plain wrist films) for bone cysts.
  • Clinical evaluation and follow-up (mean 20.9 months).

Main Results:

  • Bone cysts found in 63.6% at study start.

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  • Carpal bone cysts in 70.4% after follow-up.
  • Clinical worsening observed in 26.3% of patients.

    • Conclusions:

    • CAPD does not prevent dialysis-associated amyloidosis.
    • Prolonged uremia and reduced diuresis are key factors.
    • Plain wrist films are effective for early detection and monitoring.